Quick Answer
Headache that is frequent, disabling, or changing —— when a neurology headache evaluation is the right step.
Medically reviewed by Dr. Jitendra Prasad Yadav • NMC 8029 • Kathmandu Neurology Clinic & Cognitive Center
Most headaches do not need a neurologist for every episode. Consider evaluation when headache occurs on 4+ days per month, disrupts work or sleep, requires pain medication most weeks, changes pattern, or raises red flags.
Red flags needing urgent care: thunderclap onset (peaks within seconds), fever with neck stiffness or confusion, headache after head injury, new headache after age 50, progressive worsening, or headache with slurred speech, weakness, or vision loss.
Dr. Jitendra Prasad Yadav — consultant neurologist & headache specialist at Kathmandu Neurology Clinic & Cognitive Center provides evidence-based evaluation for migraine.
For non-urgent but concerning headaches, a neurologist's headache evaluation covers: headache days per month and severity, associated nausea/light sensitivity/aura and autonomic features, medication frequency (overuse review), triggers, sleep, and diary. Classification uses ICHD-3 —— migraine with/without aura, chronic migraine, tension-type, cluster, medication-overuse, and secondary headache.
What to bring to Kathmandu Neurology Clinic & Cognitive Center: medication list, prior reports, headache diary if available, and notes on impact. Dr. Jitendra Prasad Yadav (NMC 8029, MBBS MD FICN, 15+ years NAMS) provides diary-based headache medicine at Durbar Marg, Opposite of Yak & Yeti Hotel —— see /headache-specialist-kathmandu and /conditions/chronic-headache.
Frequently asked questions
Answers reviewed by Dr. Jitendra Prasad Yadav • MBBS, MD (Internal Medicine), FICN (Neurology), FCNV, FIHM • NMC 8029
Migraine is a neurological condition; headache is one feature. Associated symptoms and functional impact are important for diagnosis.
Aura refers to visual, sensory, or speech symptoms that precede the headache in some people. Both types are migraine; the presence of aura may influence management discussion.
Frequency may improve with systematic evaluation of types, contributors, and individualized planning, but outcomes vary.
Using pain medication on 10+ days per month can trigger daily headache. Reduction or cessation under medical supervision may help break this cycle.
Migraine typically presents as moderate-severe throbbing headache with nausea and/or sensitivity to light or sound, worsened by routine activity. Duration 4–72 hours. Dr. Jitendra Prasad Yadav (NMC 8029) uses ICHD-3 criteria plus your headache diary (frequency, aura, medication days) and red-flag screen to distinguish …
Stress does not cause migraine alone but lowers threshold and increases frequency, especially with irregular sleep and frequent analgesic use. Dr. Jitendra's approach: diary for frequency/medication days, sleep regularity, hydration, caffeine review, and comorbidity screening (anxiety, insomnia, neck pain). The clinic …
More: All FAQs → · Ask Dr. Jitendra →
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Content on this website is for general educational purposes only and does not constitute medical advice, diagnosis, or treatment. It is not a substitute for evaluation by a qualified healthcare professional. Always seek the advice of your physician or other qualified provider with any questions regarding a medical condition. Never disregard professional medical advice or delay seeking it because of something you have read on this website. In case of a medical emergency, contact emergency services immediately. No doctor–patient relationship is established by use of this site or by contacting the clinic through the site.
References & Review
Reviewed by Dr. Jitendra Prasad Yadav • Last reviewed: 2026-09-04
- International Classification of Headache Disorders, 3rd edition (ICHD-3).
- Harrison's Principles of Internal Medicine — Neurology sections.
- American Academy of Neurology guidelines for selected conditions (where applicable).
Content is educational and aligns with standard medical references; individual evaluation may vary. External links provide context and do not imply endorsement.